| NPI | 1881756179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 247933) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT183245) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D69588) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2016-09-09 |